Rate increases by state

Health insurance rates are going up again. Here is how people are getting ahead of it

Individual health insurance premiums for next year have already been published in most states, and increases are happening almost everywhere. I'll show you what the numbers look like in your state and how to respond.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber, a licensed health insurance broker. Each fall, insurance carriers submit their rates for the coming year, regulators review those filings, and policyholders start receiving renewal notices showing higher premiums. This time around, the increases are particularly significant across most states where I work.

I help clients over the phone throughout the 36 states where I'm licensed. As state regulators release updated pricing information, I add it here so you can check the numbers for your state and understand your next steps.

2027 rate changes by state

Information last reviewed October 15, 2026. The percentages below reflect average premium changes for individual and family coverage before subsidies are applied. Approved indicates regulators have accepted the rates, while Proposed indicates an insurer's request is still awaiting a decision. When you see "reported," the number comes from a filing-based rate tracking source rather than directly from the state's own publication.

  • Alabama: insurers received approval for increases ranging from about 11% to 34%, starting January 1 (Alabama Department of Insurance)
  • Arizona: insurers have proposed an increase of about 29% (reported)
  • Arkansas: requested increase is approximately 6.0%, still proposed (reported)
  • Colorado: regulators approved an average 10% increase, ranging from 5.9% to 15.5% based on location (Colorado Division of Insurance)
  • Connecticut: regulators approved an average 11.3% increase, down from 16.2% requested, with 8.8% and 16.0% across the two renewing carriers (Connecticut Insurance Department)
  • Delaware: insurer-specific average increases of 13.94% and 17.20% have been approved (Delaware Department of Insurance)
  • Florida: an unweighted increase of approximately 15.3% has been proposed but not approved (reported)
  • Georgia: an increase averaging about 20.7% has received approval (reported)
  • Idaho: regulators have approved a 12% premium increase (Idaho Department of Insurance)
  • Illinois: final premium increases average 14.1% (Illinois Department of Insurance)
  • Indiana: regulators approved 17.5%, reducing the original request of 19.7% (Indiana Department of Insurance)
  • Iowa: an average increase of roughly 5.7% has been approved (reported)
  • Kansas: the proposed average premium increase is around 19.5% (reported)
  • Kentucky: insurers are seeking an increase of approximately 18.7% (reported)
  • Louisiana: regulators approved an average increase of about 18.1% (reported)
  • Maryland: the approved premium increase is 14.6% (Maryland Insurance Administration)
  • Michigan: approved premium increases average roughly 14.5% (reported)
  • Minnesota: the average approved increase comes to approximately 17.7% (reported)
  • Mississippi: insurers have proposed an increase of about 21% (reported)
  • Missouri: the proposed average rate increase is approximately 12.4% (reported)
  • Montana: an average increase of roughly 23.3% has been approved (reported)
  • Nebraska: proposed increases average approximately 13.6% (reported)
  • Nevada: regulators approved an average premium increase of about 17.2% (reported)
  • New York: regulators approved 6.0% instead of the requested 20.6% (New York Department of Financial Services)
  • North Carolina: insurers are proposing an average increase of about 14.9% (reported)
  • Ohio: the final premium increase averages approximately 16.3% (reported)
  • Oklahoma: insurers have requested an increase averaging roughly 21.5% (reported)
  • South Carolina: proposed premium increases average about 17.2% (reported)
  • South Dakota: an average increase of approximately 10.1% has been approved (reported)
  • Tennessee: regulators approved an average increase of roughly 15.6% (reported)
  • Texas: insurers are proposing an average increase of approximately 14.1% (reported)
  • Utah: an average premium increase of about 7.4% has been approved (reported)
  • Virginia: regulators approved an average increase of approximately 16.9% (reported)
  • West Virginia: proposed premium increases average roughly 17.3% (reported)
  • Wisconsin: insurers have proposed an average increase of about 21.1% (reported)
  • Wyoming: the proposed average increase comes to approximately 11.3% (reported)

How much these higher rates affect your household depends largely on whether your income qualifies for marketplace premium assistance. Let's look at the situation that best describes you.

Scenario 1 of 3

My income qualifies me for a subsidy

If you're eligible for a premium tax credit, you may not feel much of the increase insurers are announcing. That's because your assistance is calculated using the cost of a local benchmark plan, and the credit generally grows as that benchmark becomes more expensive. Your actual premium is influenced more by household income than by the insurer's advertised percentage increase.

But that doesn't mean you should automatically renew. Insurance companies don't all raise prices equally, and a plan that was a great value this year could cost more than competing coverage next year. Renewing without checking may leave you paying extra for essentially the same benefits. In most states, December 15 is the deadline to select coverage beginning January 1.

Scenario 2 of 3

I pay full price and I'm healthy

If you don't qualify for premium assistance, the full increase is yours to pay. Before agreeing to that higher renewal premium, I'd compare it against a private PPO. Private plans are available outside the marketplace and use medical underwriting, meaning the insurer reviews health information and may offer healthier applicants pricing based on their medical situation. Their nationwide provider networks also let you access doctors beyond your home county. You can read more about how a private PPO works.

Scenario 3 of 3

My insurer is leaving the marketplace

Not everyone will receive a renewal notice with a higher premium. Some policyholders will instead learn that their current plan is being discontinued. If that happens, you'll need to select replacement coverage during open enrollment to avoid starting the new year uninsured. I maintain a state-by-state look at carrier withdrawals on my page about insurance companies leaving the marketplace.

When your existing plan disappears, it's a good opportunity to compare the remaining marketplace choices with private coverage too, especially when you're responsible for the full premium.

You can still get a nationwide PPO

You don't have to accept a higher marketplace premium without comparing alternatives. In each state where I hold a license, I can quote private PPO insurance with nationwide provider access. For healthy applicants who don't receive subsidies, that's frequently where I'd begin the comparison.

Where the figures on this page come from

  • Alabama, 2027 approved: about 11% to 34% by insurer (11.4% to 33.8%) Source
  • Arizona, 2027 proposed average: about 29% Source
  • Arkansas, 2027 proposed average: about 6.0% Source
  • Colorado, 2027 approved average: 10%, from 5.9% to 15.5% by rating area (Colorado Division of Insurance) Source
  • Connecticut, 2027 approved averages: 8.8% and 16.0% by insurer Source
  • Connecticut, 2027 approved individual average: 11.3% (16.2% requested) Source
  • Delaware, 2027 approved averages: 17.20% and 13.94% by insurer Source
  • Florida, 2027 proposed average (unweighted): about 15.3% Source
  • Georgia, 2027 approved average: about 20.7% Source
  • Idaho, 2027 approved average: 12% Source
  • Illinois, 2027 final individual average: 14.1% Source
  • Indiana, 2027 approved average: 17.5% (19.7% requested) Source
  • Iowa, 2027 approved weighted average about 5.7% (reported) Source
  • Kansas, 2027 proposed average: about 19.5% Source
  • Kentucky, 2027 proposed average: about 18.7% Source
  • Louisiana, 2027 approved average: about 18.1% Source
  • Maryland, 2027 approved average: 14.6% Source
  • Michigan, 2027 approved average: about 14.5% Source
  • Minnesota, 2027 approved average: about 17.7% Source
  • Mississippi, 2027 proposed average: about 21% Source
  • Missouri, 2027 proposed average: about 12.4% Source
  • Montana, 2027 approved average: about 23.3% Source
  • Nebraska, 2027 proposed average: about 13.6% Source
  • Nevada, 2027 approved average: about 17.2% Source
  • New York, 2027 approved average: 6.0% (20.6% requested) Source
  • North Carolina, 2027 proposed average: about 14.9% Source
  • Ohio, 2027 final average: about 16.3% (reported) Source
  • Oklahoma, 2027 proposed average: about 21.5% Source
  • South Carolina, 2027 proposed average: about 17.2% Source
  • South Dakota, 2027 approved average: about 10.1% Source
  • Tennessee, 2027 approved average: about 15.6% Source
  • Texas, 2027 proposed average: about 14.1% Source
  • Utah, 2027 approved average: about 7.4% Source
  • Virginia, 2027 approved average: about 16.9% Source
  • West Virginia, 2027 proposed average: about 17.3% Source
  • Wisconsin, 2027 proposed average: about 21.1% Source
  • Wyoming, 2027 proposed average: about 11.3% Source

Rate increase questions I get

Straight answers, no sales pitch.

Why are health insurance rates going up so much?

According to insurers, higher hospital expenses and prescription drug costs are contributing to these increases. They also cite a smaller insurance pool with greater medical needs following the expiration of the expanded federal subsidies.

Will my premium go up by my state's average?

Not necessarily. Published averages combine people of different ages and plans. Your specific increase depends on your insurance policy, age, where you live and, if you receive a subsidy, household income. The renewal notice will tell you your actual change.

What's the difference between approved and proposed rates?

A proposed increase is the amount an insurance carrier requested from regulators. An approved increase reflects the state's final decision and determines what you'll actually pay. Regulators can approve less than requested or sometimes authorize a higher amount.

Can I switch plans because my rate went up?

Yes. You can switch plans during open enrollment without having to provide a special reason. Once that period closes, changing coverage generally requires a qualifying life event, so don't wait past the deadline to address a premium increase.

Find out what your increase means for you

Share your state, how many people need insurance and an approximate household income. I'll review what happens to your current plan next year and compare the alternatives that make sense for you.

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